Alcohol Withdrawal DRG cew 434

Mean LOS: 4.9 days

Description: MEDICAL: Alcohol or Drug Abuse or Dependence, Detoxification, or Other Symptoms Treated with CC

^^ithdrawal is a pattern of physiological responses to the discontinuation of a drug. Although most central nervous system (CNS) depressants produce similar responses, alcohol is the only one in which withdrawal is life threatening, with a mortality rate of about 25%. Withdrawal symptoms should be anticipated with any patient who has been drinking the alcohol equivalent of a six-pack of beer on a daily basis for a period of 6 months; smaller patients who have drunk less may exhibit the same symptoms. Alcohol withdrawal involves CNS excitation, respiratory alkalosis, and low serum magnesium levels, leading to an increase in neurological excitement (Table 6).

52 Alcohol Withdrawal

• TABLE 6 Pathophysiology of Alcohol Withdrawal
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